RAY BOUSLOUGH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049131620

License Status

NOT RENEWED

Business

First Name

RAY

Last Name

BOUSLOUGH

Business Name

RAY BOUSLOUGH

Original Issue Date

07/14/2000

Effective Date

07/14/2000

Expiration Date

03/31/2002

City

MILAN

State

Zip

61264

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

12/06/2005